clove and Appendicitis

In view of the high appendicectomy rate in a university teaching hospital in a developing country, we investigated the regional epidemiology of appendicitis.. Prospective clinical and pathological study.. Teaching hospital, Madagascar.. 165 patients who underwent appendicectomy during a two month period.. Clinical investigation and histopathological examination of removed appendixes.. Appendicitis score, local incidence of appendicectomy, appendicitis, perforation, and negative appendicectomy.. There was a high incidence of primary appendicectomy (51.1/10,000 population/year) in relation to the incidence of histologically confirmed appendicitis (7.7/10,000), resulting in a negative appendicectomy rate of 85% (43/10,000). There were considerable sex related differences in the incidence of primary appendicectomy (81/10,000 women/year; 22/10,000 men), appendicectomy for appendicitis (12/10,000 women/year; 4/10,000 men) and non-perforating appendicitis (8/10,000 women/year; 2/10,000 men), but much less in that of perforating appendicitis (4/10,000 women/year; 2/10,000 men).. There is potential for more economic use of medical resources by reducing the rate of negative appendicectomy. The incidence of non-perforating appendicitis depends on the number of appendicectomies done, which may explain the differences observed in the incidence of appendicitis between industrialised and developing countries.

Topics: Appendectomy; Appendicitis; Developing Countries; Female; Health Resources; Humans; Incidence; Madagascar; Male; Prospective Studies; Sex Distribution; Surveys and Questionnaires